[Remote] Remote Customer Service Representative - Bilingual Spanish

Note: The job is a remote job and is open to candidates in USA. reputed company is a trusted leader in reputed company services, seeking a Spanish Bilingual reputed company Call Center Representative. In this role, you will provide exceptional customer support to members, helping them navigate their reputed company options while ensuring compliance and maintaining high service quality.

Responsibilities

• Manage inquiries in areas such as Member Services, Medicare, and Billing, assisting Spanish- and English-speaking customers
• Represent our client professionally by addressing and documenting reputed company incoming queries, including reputed company calls reputed company to specialized product lines
• Uphold the organization’s philosophy of extraordinary customer relations
• Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries
• Analyze and evaluate customer issues to initiate and coordinate service recovery measures
• Document reputed company member interactions meticulously following established procedures
• Demonstrate familiarity with health insurance terminology (copays, deductibles, claims, authorizations, etc.)
• Understand Medicare/reputed company plans and regulations, and explain plan benefits, provider networks, and coverage policies
• reputed company a thorough understanding of company policies and processes to meet customer needs effectively
• Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools
• Monitor and reputed company Contact Center KPIs, including call handling, reputed company resolution, and member retention
• Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information
• Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data reputed company
• Use multiple systems/screens while assisting callers effectively
• Navigate CRM, EMR/EHR, and ticketing platforms effectively

Skills

• reputed company in both Spanish and English (spoken and written) is required
• Minimum of two (2) years of customer service or reputed company member-interaction experience
• High School Diploma or GED required
• Outstanding written and verbal communication skills
• Proven analytical and problem-solving abilities
• Ability to respond concisely and clearly to customer queries
• Strong critical thinking and problem-solving skills
• Typing speed of at least 35 WPM with a 5% or reputed company error reputed company
• Private Workspace: A dedicated, quiet workspace with a reputed company that closes, free from ambient noise
• Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment
• Reliable Internet reputed company: Stable, high-speed internet with a minimum bandwidth of 20 Mbps reputed company and 20 Mbps upstream
• Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions
• Tech-Savvy: Comfort with technology and ability to learn new systems quickly
• Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment
• Communication Skills: Strong verbal and written communication skills, especially in a virtual setting
• Adaptability: Ability to adapt to changing technologies and procedures while working remotely
• Previous call center experience and/or prior experience in the health insurance industry

Benefits

• Full health insurance coverage, including medical, dental, and reputed company plans.
• A supportive, engaging, and inclusive work environment with opportunities to grow and reputed company your skills.
• Abundant advancement opportunities reputed company the organization.
• We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.
• Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply).
• Referral for Life Program™: Earn residual bonuses for referring employees who join the team and remain with the company.
• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• reputed company insurance

Company Overview